Presence, Cybersickness, Anxiety, and Heart Rate Variability in a Non-Clinical Population Using Virtual Reality Environments Designed For Specific Phobias' Treatment

María José Distéfano, Lucas P. Labandeira, Fernando M. Tarnogol, B. Mesurado
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Abstract

The current study was performed to assess the phenomenon known as Presence, to measure Anxiety responses, simulator sickness and autonomic activation in subjects of the general population. The sample consisted in 37 Argentine participants (15 male, 22 female) between ages 20 and 40; who were exposed to 3 virtual environments designed to research and treat phobias. Instruments utilized for this study were the Symptom Checklist 90-R, Acrophobia Questionnaire, Fear of Spiders Questionnaire, The Claustrophobia Questionnaire, Igroup Presence Questionnaire, Simulator Sickness Questionnaire and the State-Trait Anxiety Inventory. All virtual environments generated sufficient feeling of presence. Cybersickness was only registered in the Elevator scenario. The Apartment and Spiders environments have shown not to be anxiety triggers within this population. As for Elevator, a significant increase in the level of state anxiety was generated. A possible hypothesis to account for this fact might be that reported anxiety responds to movement simulated in the virtual scenario while on the other two scenarios the subjects remained static. The existence of a correlation between HRV and state anxiety has been analyzed and no significant relation has been found between the variables. Even though there is a relation between anxiety and presence, no significant relation has been found between anxiety and presence. Regarding sensory conflict, a follow up study in the Elevator environment should be done, eliminating movement and exposing subjects to the stimuli while static at different heights. Future studies should consider broadening the size of the sample and studying clinical population to compare results.
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使用专为特定恐惧症治疗而设计的虚拟现实环境在非临床人群中的存在感、晕机、焦虑和心率变异性
目前的研究是为了评估一种被称为“在场”的现象,以测量普通人群的焦虑反应、模拟器病和自主神经激活。样本包括37名阿根廷参与者(15名男性,22名女性),年龄在20至40岁之间;他们被暴露在三个虚拟环境中用来研究和治疗恐惧症。本研究使用的工具为症状检查表90-R、恐高症问卷、恐蜘蛛问卷、幽闭恐惧症问卷、群体存在问卷、模拟病问卷和状态-特质焦虑量表。所有的虚拟环境都产生了足够的存在感。晕屏症状只出现在电梯场景中。“公寓”和“蜘蛛”的环境已被证明不会引发这群人的焦虑。对于电梯,状态焦虑水平显著增加。解释这一事实的一个可能的假设是,报告的焦虑对虚拟场景中模拟的运动有反应,而在另外两个场景中,受试者保持静止。分析HRV与状态焦虑之间存在相关性,变量之间未发现显著相关。尽管焦虑和在场之间存在关系,但没有发现焦虑和在场之间的显著关系。对于感觉冲突,应该在电梯环境中进行后续研究,消除运动,让受试者在不同高度静止时接受刺激。未来的研究应考虑扩大样本量,研究临床人群以比较结果。
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